医疗保健
医学
卫生行政
护理研究
护理部
健康信息学
介绍
大流行
家庭医学
公共卫生
疾病
2019年冠状病毒病(COVID-19)
病理
经济增长
经济
传染病(医学专业)
作者
Katarzyna Bernacki,Angie Keister,Nadia Sapiro,Jin Su Joo,Lisa Mattle
标识
DOI:10.1186/s12913-021-07237-y
摘要
COVID-19 has dramatically changed how healthcare is delivered and experienced.One-on-one interviews and a virtual ethnographic roundtable were conducted among 45 patients, caregivers, and healthcare professionals (HCPs) in 4 therapeutic areas from the United States and Japan: overactive bladder, vasomotor symptoms, prostate cancer, and metastatic urothelial carcinoma. The goal was to identify the impact of COVID-19 on patient/caregiver and HCP attitudes, interactions, beliefs, and behaviors toward the healthcare system and care pathway.Four foundational themes were identified: 1) COVID-19 risk is relative; 2) isolation is collateral damage; 3) telehealth is a parallel universe; and 4) COVID-19 is destabilizing the foundations of healthcare. Numerous insights, influenced by diverse cultural, social, and psychological factors, were identified within each theme.The impacts of COVID-19 were noticeable at multiple points of care during the "universal" care pathway, including at initial screening, referral to specialists, diagnosis, treatment initiation/surgery, and during ongoing care. Greater appreciation of the short- and long-term impacts of COVID-19 and resulting gaps in care may act as a catalyst for positive change in future patient care.
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